CCMH CORPORATION (NPI# 1982891057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982891057 |
| Entity Type | Organization |
| Organization Name | CCMH CORPORATION |
| Other Organization Name | BEDFORD FAMILY PRACTICE |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Mailing Address |
470 Highway 421 N Bedford KY 40006-8690 |
| Practice Telephone | 5026620336 |
| Mailing Telephone | 5022557732 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MRS. SHEILA TOMLINSON (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 5027323230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900261 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 50014776 | 01 |
| KY | ANTHEM | 000000520562 | 01 |
| KY | 7100010810 | 05 |
| Other Name | Type Code |
|---|---|
| Bedford Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1972739993 | Ccmh Corporation | Nurse Anesthetist, Certified Registered | 309 11th St, Carrollton, KY 41008-1435 | 2009-06-04 |
| 1528255692 | Ccmh Corporation | Surgery | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1518154681 | Ccmh Corporation | Internal Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1003030487 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1194949578 | Ccmh Corporation | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1225159601 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-03 |
| Street Address |
309 11TH ST |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1508411562 | Kimberly Lane Smith | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-08-07 |
| 1598227175 | Toni Nicole Wright | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-04-03 |
| 1982184925 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 309 11th St, Carrollton, KY 41008-1435 | 2018-08-20 |
| 1801324363 | William Clark | Pharmacist | 309 11th St, Carrollton, KY 41008-1435 | 2017-05-30 |
| 1629422886 | Amber Adcock | Nurse Practitioner | 309 11th St, Carrollton, KY 41008 | 2016-04-14 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1598107112 | Amanda Davis | Dietitian, Registered | 309 11th St, Carrollton, KY 41008-1435 | 2013-07-24 |
| 1851645501 | Erica A. Chowning | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1255970513 | Orrville Hospital Foundation | Clinic/Center | 1020 Trump Rd Nw Ste 2/4, Carrollton, OH 44615-8422 | 2020-01-03 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1689079642 | Jersey Community Hospital | Clinic/Center | 523 S Main St, Carrollton, IL 62016-1256 | 2014-11-03 |
| 1891102323 | Pickens County Medical Center, Inc | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2014-07-16 |
| 1619276367 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2011-03-21 |
| 1275694168 | Carroll County Medical Advisors Lp | Clinic/Center | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1164507604 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 800 School St, Carrollton, IL 62016-1436 | 2006-10-25 |
| 1215030713 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2006-09-07 |
| 1740209667 | Tenet Healthsystem Hospitals Dallas, Inc. | Clinic/Center | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2006-07-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
Please comment or provide details below to improve the information on CCMH CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.